The document summarizes a health information literacy pilot project conducted from April to June 2008. The project gathered data from administrators and healthcare providers on their perceived value of consumer health resources and librarians' roles in promoting health literacy. Nine sites in the US and Canada participated that did not currently offer consumer health services. The project implemented training sessions and distributed literature at one site to approximately 150 healthcare providers to raise awareness of libraries' roles in patient education and the benefits of health information literacy. Overall, the project had positive outcomes in raising such awareness at the participating medical library and clinic.
Knowledge mobilization (KMb) is the process of sharing research findings with potential users, including policymakers and practitioners, to enhance social innovation. KMb allows researchers to collaborate with partners outside of academia to apply findings from university research. York University's KMb unit supports over 150 KMb projects through services like knowledge brokers and clear language research summaries. These projects help translate findings into programs and policies to address issues like climate change, youth homelessness, and economic development. Training opportunities exist to help researchers effectively engage non-academic audiences and integrate knowledge mobilization throughout the research process.
The document summarizes research on physician assistants' use of clinical information for patient care decision-making. It provides background on physician assistants as a profession and describes two studies examining how clinical librarians and literature searching impacted physicians' and other practitioners' patient care. The document also outlines preliminary results of a current study surveying physician assistants, nurses and physicians at rural hospitals on their information needs and use of resources for clinical decision-making. Key findings suggest rural practitioners want improved access to online journals and databases to inform direct patient care and education.
Ailsa Claire: Commissioning Intelligence ProgrammeThe King's Fund
Ailsa Claire, Director of Commissioning Development, NHS Yorkshire and Humber, talks on the Commissioning Intelligence programme: What have we learned so far?
The document outlines a dissemination plan for research findings from a study measuring the effectiveness of patient discharge preparation at an Acute Rehabilitation Hospital. The plan includes sharing results with an interprofessional team at the hospital, regional and national rehabilitation facilities, conferences, and publications. Simplified summaries will be provided to patients and families, while more detailed reports will target professional audiences. The plan also includes evaluating results within 6 months, notifying study participants, and securing sufficient funding to cover dissemination costs. The overall goal is to distribute the knowledge to benefit public health and empower healthcare system participants.
The document summarizes an external review of the Te Awakura Adult Inpatient Unit at Hillmorton Hospital. The review was requested after three patient deaths and examined recommendations to improve care delivery. Key recommendations included integrating planning, funding, and services across the sector; reconfiguring or rebuilding inpatient bed resources; and developing alternatives to hospital admission through enhanced community care and crisis resolution models. An implementation framework was established to address short-term issues and work towards longer-term solutions over the following months.
The document discusses the importance of global health information systems and challenges in building sustainable systems in resource-constrained countries. It highlights issues such as lack of integrated interventions and siloed disease-specific systems. It also outlines opportunities for librarians and universities to help address gaps through educational programs, research, and training the next generation of health informatics professionals.
The document discusses engaging decision makers in comparative effectiveness research (CER). It outlines calls for a National Institute of CER and defines CER. It describes how CER differs from traditional research by being more politically insulated and transparent. The document emphasizes that CER evidence enterprises must be designed around decision makers' needs and that they must be meaningfully engaged at all stages for limited success. It provides examples of organizations that have meaningfully engaged decision makers and outlines strategies for doing so, including selecting smart, energetic participants and valuing different perspectives.
The document summarizes a health information literacy pilot project conducted from April to June 2008. The project gathered data from administrators and healthcare providers on their perceived value of consumer health resources and librarians' roles in promoting health literacy. Nine sites in the US and Canada participated that did not currently offer consumer health services. The project implemented training sessions and distributed literature at one site to approximately 150 healthcare providers to raise awareness of libraries' roles in patient education and the benefits of health information literacy. Overall, the project had positive outcomes in raising such awareness at the participating medical library and clinic.
Knowledge mobilization (KMb) is the process of sharing research findings with potential users, including policymakers and practitioners, to enhance social innovation. KMb allows researchers to collaborate with partners outside of academia to apply findings from university research. York University's KMb unit supports over 150 KMb projects through services like knowledge brokers and clear language research summaries. These projects help translate findings into programs and policies to address issues like climate change, youth homelessness, and economic development. Training opportunities exist to help researchers effectively engage non-academic audiences and integrate knowledge mobilization throughout the research process.
The document summarizes research on physician assistants' use of clinical information for patient care decision-making. It provides background on physician assistants as a profession and describes two studies examining how clinical librarians and literature searching impacted physicians' and other practitioners' patient care. The document also outlines preliminary results of a current study surveying physician assistants, nurses and physicians at rural hospitals on their information needs and use of resources for clinical decision-making. Key findings suggest rural practitioners want improved access to online journals and databases to inform direct patient care and education.
Ailsa Claire: Commissioning Intelligence ProgrammeThe King's Fund
Ailsa Claire, Director of Commissioning Development, NHS Yorkshire and Humber, talks on the Commissioning Intelligence programme: What have we learned so far?
The document outlines a dissemination plan for research findings from a study measuring the effectiveness of patient discharge preparation at an Acute Rehabilitation Hospital. The plan includes sharing results with an interprofessional team at the hospital, regional and national rehabilitation facilities, conferences, and publications. Simplified summaries will be provided to patients and families, while more detailed reports will target professional audiences. The plan also includes evaluating results within 6 months, notifying study participants, and securing sufficient funding to cover dissemination costs. The overall goal is to distribute the knowledge to benefit public health and empower healthcare system participants.
The document summarizes an external review of the Te Awakura Adult Inpatient Unit at Hillmorton Hospital. The review was requested after three patient deaths and examined recommendations to improve care delivery. Key recommendations included integrating planning, funding, and services across the sector; reconfiguring or rebuilding inpatient bed resources; and developing alternatives to hospital admission through enhanced community care and crisis resolution models. An implementation framework was established to address short-term issues and work towards longer-term solutions over the following months.
The document discusses the importance of global health information systems and challenges in building sustainable systems in resource-constrained countries. It highlights issues such as lack of integrated interventions and siloed disease-specific systems. It also outlines opportunities for librarians and universities to help address gaps through educational programs, research, and training the next generation of health informatics professionals.
The document discusses engaging decision makers in comparative effectiveness research (CER). It outlines calls for a National Institute of CER and defines CER. It describes how CER differs from traditional research by being more politically insulated and transparent. The document emphasizes that CER evidence enterprises must be designed around decision makers' needs and that they must be meaningfully engaged at all stages for limited success. It provides examples of organizations that have meaningfully engaged decision makers and outlines strategies for doing so, including selecting smart, energetic participants and valuing different perspectives.
The Precision Medicine Initiative is a $215 million effort to revolutionize disease treatment through personalized care. It will create a voluntary national research cohort of over 1 million Americans to share health data to accelerate discoveries. The goals are to develop more effective cancer treatments through genetic testing and clinical trials, create an open research platform for the cohort to partner on studies, and ensure strong privacy protections for health information. The initiative aims to translate precision medicine successes into broader application through public-private partnerships and regulatory modernization.
The document summarizes a study that used mixed-method research incorporating patients into the development of clinical guidelines for treating major depression in childhood and adolescence. Photovoice, a participatory method using photography, was used alongside a systematic review. Participants provided insights through photographs and discussions. Key findings addressed information needs, stigma, support groups, and treatment preferences. The results informed guideline recommendations and were disseminated through a photobook and exhibitions to promote patient empowerment.
11 aug 12 improving comparative effectiveness researchwonmedcen
The document discusses improving comparative effectiveness research to make it more patient-centered. It focuses on matching research questions to the most appropriate research methods to provide patient-centered answers. It also emphasizes engaging patients, caregivers, clinicians, administrators, commissioners, and policymakers throughout the entire research process. By linking clinical decision making in a participatory way to the right research methodology, research can be generated that is fit for improving patient outcomes. However, it notes that more focus is needed on reducing health inequalities by conducting research in deprived areas and addressing the unmet health needs of vulnerable populations.
The document discusses developing mechanisms to engage the public and other stakeholders in health issues in New Brunswick. It outlines 5 strategic axes, including measuring and monitoring population health, health service quality, and satisfaction. The document then compares some New Brunswick health indicators to national averages, finding higher rates of access to family doctors but lower rates of same-day appointments and after-hours care. It concludes that the health system must match citizen needs, benchmark quality outputs, and ensure accountability to influence sustainability and improvements.
This lecture discusses strategies for designing patient-centered behavior change interventions. It provides an overview of tools and sources for patient engagement, including community programs, organizational strategies, healthcare team approaches, and individual-level activities. The lecture also covers areas to measure patient engagement and the role of mobile technologies and patient portals in supporting chronic disease management and population health improvement.
Introduction to Quality Improvement and Health Information TechnologyCMDLMS
This document provides an introduction to quality improvement and health information technology. It discusses key concepts in quality improvement including defining quality health care, national organizations involved in quality improvement efforts, and current issues in the US healthcare system. The document outlines objectives for the lecture, including explaining health care quality and quality improvement as well as how quality improvement relates to national health care priorities. It also discusses the National Quality Strategy and its aims and priorities. Finally, the document introduces basic concepts in quality improvement including setting an aim, measuring processes and outcomes, implementing changes, and learning from changes made.
The document discusses several topics:
1. A new set of criteria has been developed by NCQA and PCPCC to recognize physician practices as patient-centered medical homes based on 7 principles.
2. Matria has partnered with Microsoft to support HealthVault, a new health platform that allows users to store and access personal health information online.
3. A case study describes how Matria client BD integrated disability management with disease management, increasing participation in health programs from 23% to 48%.
Knowledge@lerts for commissioners, tfpl June 2012Anne Gray
1) The document discusses Knowledge@lerts, a weekly email bulletin service that aims to signpost commissioners to relevant evidence and resources.
2) It provides recommendations for the bulletin, such as highlighting local content, including full URLs, and keeping items short.
3) Feedback from recipients was generally positive, with most readers finding items of interest and clicking through to resources, though response rate was low.
A description of the Quality MK website, developed to support a Health Foundation funded quality improvement programme across Milton Keynes (UK) health economy.
Evidence based commissioning - now and moving forwardAnne Gray
Presentation at Health Libraries Group conference, Scarborough September 2016, looking at the research behind evidence based commissioning - the evidence used, how it is found and how it is used - and a case study of a Commissioning Librarian.
Information needs of health service commissioners Anne Gray
This document discusses the information needs of commissioners and how to meet those needs. It provides resources for commissioners to access evidence on various topics, including what has worked elsewhere, key topics in health care, and new information they should be aware of. It emphasizes that references alone are not enough and commissioners should attend meetings, understand the significance of research, and have relevant sections summarized. A collaborative wiki provides organization around the commissioning cycle and highlights the role of library services in commissioning support. Clarity in evidence-based commissioning is needed as simply producing evidence is not sufficient.
Quality MK : a whole system approach to quality improvement. CKO Workshop,Lon...Anne Gray
A description of the Quality MK programme around whole system improvement in a health trust. A presentation of the critical success factors and some of the tools used.
Information Needs of Commissioners, CHfL workshop May 2013Anne Gray
The document summarizes the information needs of clinical commissioning groups (CCGs) in the NHS based on 5 sources:
1) NHS staff surveys from 2005 assessing information needs for service development. Key needs included policy guidance, regulations, news, statistics and best practices.
2) A 2010 NHS Networks survey of CCGs and other stakeholders found most useful information included case studies, templates, guidance, tools and research.
3) A 2007 Dr Foster report on GP commissioners' intelligent information needs like health needs assessments, choice/quality data, activity and finance details.
4) A 2011 government report identifying 8 segments of commissioning intelligence needs around population health, system performance, spending comparisons and evaluating impact.
Making Library & Knowledge Services Business criticalAnne Gray
This document discusses how health libraries and knowledge services can become business critical by understanding the needs and priorities of health managers. It identifies that managers seek concise, local evidence to help improve services, benchmark performance, and reduce costs. While managers value evidence-based decision making, they reconstruct evidence based on local factors and discussions with colleagues. The document recommends that libraries provide customized support and a plurality of evidence sources to better support managers' varied information needs.
The document discusses the role of a commissioning librarian at NHS Milton Keynes. It describes how the role has evolved from 2004-2009 to support primary care clinicians and commissioners. As a commissioning librarian, key responsibilities include supporting service redesign through evidence searches and alerts, training on information skills, and ensuring resources on the Quality MK website are relevant to strategic priorities around quality improvement, financial balance, and the transition to clinical commissioning groups. Search requests from commissioners cover topics like self management programs, outcomes data, and specifications for new services. The librarian role aims to provide pluralistic evidence from various sources to inform decision making.
Health Works: Supporting Health in the Working AgeNHSScotlandEvent
Hear about the innovative practice being developed in Scotland to allow people rapid access to case managed support to help them back to work, using a person‐centred, biopsychosocial model.
The Precision Medicine Initiative is a $215 million effort to revolutionize disease treatment through personalized care. It will create a voluntary national research cohort of over 1 million Americans to share health data to accelerate discoveries. The goals are to develop more effective cancer treatments through genetic testing and clinical trials, create an open research platform for the cohort to partner on studies, and ensure strong privacy protections for health information. The initiative aims to translate precision medicine successes into broader application through public-private partnerships and regulatory modernization.
The document summarizes a study that used mixed-method research incorporating patients into the development of clinical guidelines for treating major depression in childhood and adolescence. Photovoice, a participatory method using photography, was used alongside a systematic review. Participants provided insights through photographs and discussions. Key findings addressed information needs, stigma, support groups, and treatment preferences. The results informed guideline recommendations and were disseminated through a photobook and exhibitions to promote patient empowerment.
11 aug 12 improving comparative effectiveness researchwonmedcen
The document discusses improving comparative effectiveness research to make it more patient-centered. It focuses on matching research questions to the most appropriate research methods to provide patient-centered answers. It also emphasizes engaging patients, caregivers, clinicians, administrators, commissioners, and policymakers throughout the entire research process. By linking clinical decision making in a participatory way to the right research methodology, research can be generated that is fit for improving patient outcomes. However, it notes that more focus is needed on reducing health inequalities by conducting research in deprived areas and addressing the unmet health needs of vulnerable populations.
The document discusses developing mechanisms to engage the public and other stakeholders in health issues in New Brunswick. It outlines 5 strategic axes, including measuring and monitoring population health, health service quality, and satisfaction. The document then compares some New Brunswick health indicators to national averages, finding higher rates of access to family doctors but lower rates of same-day appointments and after-hours care. It concludes that the health system must match citizen needs, benchmark quality outputs, and ensure accountability to influence sustainability and improvements.
This lecture discusses strategies for designing patient-centered behavior change interventions. It provides an overview of tools and sources for patient engagement, including community programs, organizational strategies, healthcare team approaches, and individual-level activities. The lecture also covers areas to measure patient engagement and the role of mobile technologies and patient portals in supporting chronic disease management and population health improvement.
Introduction to Quality Improvement and Health Information TechnologyCMDLMS
This document provides an introduction to quality improvement and health information technology. It discusses key concepts in quality improvement including defining quality health care, national organizations involved in quality improvement efforts, and current issues in the US healthcare system. The document outlines objectives for the lecture, including explaining health care quality and quality improvement as well as how quality improvement relates to national health care priorities. It also discusses the National Quality Strategy and its aims and priorities. Finally, the document introduces basic concepts in quality improvement including setting an aim, measuring processes and outcomes, implementing changes, and learning from changes made.
The document discusses several topics:
1. A new set of criteria has been developed by NCQA and PCPCC to recognize physician practices as patient-centered medical homes based on 7 principles.
2. Matria has partnered with Microsoft to support HealthVault, a new health platform that allows users to store and access personal health information online.
3. A case study describes how Matria client BD integrated disability management with disease management, increasing participation in health programs from 23% to 48%.
Knowledge@lerts for commissioners, tfpl June 2012Anne Gray
1) The document discusses Knowledge@lerts, a weekly email bulletin service that aims to signpost commissioners to relevant evidence and resources.
2) It provides recommendations for the bulletin, such as highlighting local content, including full URLs, and keeping items short.
3) Feedback from recipients was generally positive, with most readers finding items of interest and clicking through to resources, though response rate was low.
A description of the Quality MK website, developed to support a Health Foundation funded quality improvement programme across Milton Keynes (UK) health economy.
Evidence based commissioning - now and moving forwardAnne Gray
Presentation at Health Libraries Group conference, Scarborough September 2016, looking at the research behind evidence based commissioning - the evidence used, how it is found and how it is used - and a case study of a Commissioning Librarian.
Information needs of health service commissioners Anne Gray
This document discusses the information needs of commissioners and how to meet those needs. It provides resources for commissioners to access evidence on various topics, including what has worked elsewhere, key topics in health care, and new information they should be aware of. It emphasizes that references alone are not enough and commissioners should attend meetings, understand the significance of research, and have relevant sections summarized. A collaborative wiki provides organization around the commissioning cycle and highlights the role of library services in commissioning support. Clarity in evidence-based commissioning is needed as simply producing evidence is not sufficient.
Quality MK : a whole system approach to quality improvement. CKO Workshop,Lon...Anne Gray
A description of the Quality MK programme around whole system improvement in a health trust. A presentation of the critical success factors and some of the tools used.
Information Needs of Commissioners, CHfL workshop May 2013Anne Gray
The document summarizes the information needs of clinical commissioning groups (CCGs) in the NHS based on 5 sources:
1) NHS staff surveys from 2005 assessing information needs for service development. Key needs included policy guidance, regulations, news, statistics and best practices.
2) A 2010 NHS Networks survey of CCGs and other stakeholders found most useful information included case studies, templates, guidance, tools and research.
3) A 2007 Dr Foster report on GP commissioners' intelligent information needs like health needs assessments, choice/quality data, activity and finance details.
4) A 2011 government report identifying 8 segments of commissioning intelligence needs around population health, system performance, spending comparisons and evaluating impact.
Making Library & Knowledge Services Business criticalAnne Gray
This document discusses how health libraries and knowledge services can become business critical by understanding the needs and priorities of health managers. It identifies that managers seek concise, local evidence to help improve services, benchmark performance, and reduce costs. While managers value evidence-based decision making, they reconstruct evidence based on local factors and discussions with colleagues. The document recommends that libraries provide customized support and a plurality of evidence sources to better support managers' varied information needs.
The document discusses the role of a commissioning librarian at NHS Milton Keynes. It describes how the role has evolved from 2004-2009 to support primary care clinicians and commissioners. As a commissioning librarian, key responsibilities include supporting service redesign through evidence searches and alerts, training on information skills, and ensuring resources on the Quality MK website are relevant to strategic priorities around quality improvement, financial balance, and the transition to clinical commissioning groups. Search requests from commissioners cover topics like self management programs, outcomes data, and specifications for new services. The librarian role aims to provide pluralistic evidence from various sources to inform decision making.
Health Works: Supporting Health in the Working AgeNHSScotlandEvent
Hear about the innovative practice being developed in Scotland to allow people rapid access to case managed support to help them back to work, using a person‐centred, biopsychosocial model.
This lecture discusses patient-centered care and behavior change strategies. It describes patient-centered care as care that is respectful of individual patient needs and values. The lecture notes that government policy and payers are increasingly focused on patient engagement and value-based care. Research shows patient-centered care can improve outcomes and lower costs when it includes patient-oriented behavior change interventions. The lecture provides an overview of best practices for behavior change strategies to increase patient engagement.
Back Pain care and NHS Community Interface Clinics: Towards a better modelRichard Collins
The document summarizes the evolution of back pain care models in the UK from a structuralist model pre-1990s to the current community MSK hub model. It finds that while most patients are appropriately managed in a "one-stop shop" model through CATS services staffed by ESPs, some with complex or disabling back pain frequently reconsult. The document proposes a new integrated model of back pain care centered around supported self-care, evidence-based treatment, lifestyle modification and navigation to resources. It argues that sports and musculoskeletal physicians can provide valuable leadership, education and clinical skills to these services, including competency in spinal interventions and helping ensure compliance with treatment guidelines.
June 27/2017 - SPOR-PIHCI Network presentations from the pre-CAHSPR conference day in Toronto, Ontario
Sharing Practical Advances in Research Knowledge-
Translating Findings to Action from PIHCIN Research
The Broad Picture - recent developments in long-term condition managmentepicyclops
This lecture was given by Dr Aileen Keel, Deputy Chief Medical Officer for Scotland, to the North British Pain Association Spring Scientific Meeting on Friday 18th May, 2007 and forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".
Reproduced with permission.
The document discusses clinical gait analysis and provides principles for reporting on gait analysis. It defines clinical gait analysis as determining what is causing a patient to walk a certain way based on instrumented measurement and biomechanical interpretation. It advocates separating gait analysis, which identifies impairments affecting walking, from clinical decision making, which considers other factors. The document outlines two models of provision and stresses that gait analysis reports should identify impairments, be relevant, succinct, transparent, evidence-based, comprehensive, within the authors' competence, and time efficient.
1 what is clnical gait analysis (cga ifa 2015)Richard Baker
This document discusses clinical gait analysis and its role in evaluating patients and informing treatment. It proposes two models for clinical gait analysis: integration, where gait analysis and clinical decision making are combined; and separation, where gait analysis identifies impairments but clinical decisions are made separately. The key aspects of clinical gait analysis are determining the impairments causing a patient's walking pattern through objective measurement and interpretation. While analysis identifies impairments, clinical decision making considers additional factors and decides on management. The document emphasizes that gait analysis reports should clearly link conclusions to underlying data and evidence to inform clinicians' treatment decisions.
Improving Care: More Method, Less Uncertainty, Impact summit 30 October 2013NHS Improving Quality
Improving Care: More Method, Less Uncertainty, Impact summit
30 October 2013
Improving Care: More Method, Less Uncertainty – Impact Summit, the second full day event in the Measurement Masterclass series, took place at the Central Hall Westminster in London on 30 October. The event was opened by Professor Sir Bruce Keogh and NHS IQ’s own Professor Moira Livingston, and included contributions from experts from across England and a virtual appearance by Dr Bob Lloyd.
This series for senior clinical leaders was developed to help increase the understanding of the principles of measurement for improvement. Designed to stimulate and challenge, it is supporting clinical leads in holding influential discussions with policy makers and data collectors.
To take the series forward and promote measurement for improvement more widely, NHS Improving Quality is setting up an advisory group to design and develop more learning resources for senior clinicians and their teams
More information: http://www.nhsiq.nhs.uk/capacity-capability/measurement-masterclass.aspx
Care Coordination - Northwest Medical Partnerspedenton
This document discusses care coordination in the medical home. It defines care coordination as organizing patient care activities between multiple participants to facilitate appropriate healthcare delivery. Effective care coordination involves numerous participants exchanging information and integrating care activities. The care coordination model aims to deliver the right services, in the right order and setting. Key elements of the model include assuming accountability for coordination, providing patient support, developing relationships and agreements with other providers, and improving connectivity through information sharing.
This document discusses using virtual platforms and Boot Camp Translation (BCT) for stakeholder engagement in healthcare research. BCT is a method developed by the High Plains Research Network that translates medical information into understandable terms for community members through collaborative group meetings. The document notes that BCT requires significant time and resources but can be useful for relationship building, community engagement, and disseminating trial information to target populations. It explores whether BCT could help improve awareness of clinical trials.
The document summarizes plans to develop a Clinical and Translational Science Award (CTSA) application for the University of Colorado. It discusses the goals of the CTSA program to improve translational research and the requirements for the application. Working groups are being formed across University of Colorado campuses and affiliated hospitals to develop the application components. The deadline for submission is October 24, 2007.
Seeking value: Experience from the UK's National Institute for Health and Car...OECD Governance
This presentation was made by Tommy Wilkinson, United-Kingdom, at the 4th meeting of the Joint DELSA/GOV-SBO Network on Fiscal Sustainability of Health Systems, held in Paris on 16-17 February 2015.
Similar to MIlton Keynes LKS support for evidence based pathways, 2008 (20)
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
4. health:mk
Quality: MK
Evidence based service redesign
Process is supported by Task & Finish
Group(s) whose role is to:
• facilitate discussion on the technical aspects
of the new care pathway and the review
process as a whole
• provide support to the contract and
commissioning teams in developing a new
care pathway for the service in MK
WHO? HOW?
Quality:MK
5. health:mk
Quality: MK
Evidence based service redesign:
WHO is round the table?
Public health
Patients / voluntary sector
Clinicians (primary care, secondary care,
ambulance, social care)
Commissioners
PCT contracts service
Librarian
6. health:mk
Quality: MK
Evidence based service redesign:
HOW?
Review the evidence base
Identify what practice already exists and
does not exist
Identify what prevents this happening
Describe what needs to happen locally in
order to deliver the optimal pathway
Create a service specification which can be
used to commission new service
7. health:mk
Quality: MK
Evidence based service redesign :
What is the evidence base?
Health intelligence
Existing pathways
Existing guidelines
Primary evidence (“peer reviewed” jnls)
Tools/organisations/websites
Other service models/services/contacts
…..
8. health:mk
Quality: MK
Evidence based service redesign: Diabetes
Changing the way that Diabetes services
should be provided across Milton Keynes
Commission new services
Produce new patient pathways (Map of
Medicine)
Involve wide range of organisations/
services/ people
9. health:mk
Quality: MK
Evidence based service redesign: Diabetes
“This is just a quick note to remind you that I
am part of your Diabetes Pathway review
team, willing and able to provide information
support where I can…..”
“I Iook forward to hearing from you – please
don’t forget to let me know about meetings
so I can put these in my diary.”
10. health:mk
Quality: MK
Examples from work with Diabetes Review
pathway: Questions asked
What is the evidence behind the Diabetes QOF
indicators?
Recent evidence for psychological support in DM
type 2
Benefits of using structured education in DM type 2
through a team approach
Copy of the ABCD algorithm for hypertension from
the BHS
Benefits of physical activity for peripheral neuropathy
Increased risk of fall with diabetic foot problems
11. health:mk
Quality: MK
Examples from work with Diabetes Review
pathway: Questions NOT asked
Examples of models of service for Diabetes
Existing commissioning support resources
Recent evidence
But I gave them the evidence anyway!
12. health:mk
Quality: MK
Examples from work with Diabetes Review
pathway: Resources
Map of Medicine / NICE / SIGN
DynaMed
Diabetes Specialist Library (NLH)
Clinical databases/Cochrane
(Core Resources in Toolkit)
National data from PHO
Google / Yahoo
13. health:mk
Quality: MK
Google / Yahoo
Google (Advanced search)
model specification diabetes OR diabetic "service“
Yahoo (Advanced search)
diabetes "model of service"
14. health:mk
Quality: MK
Examples from work with Diabetes Review
pathway: Evidence synthesis
Synthesis of the evidence which can be
scanned quickly
NOT a list of references
– Short informative narrative
– Categorise items
– Highlight relevant sections of each item
– Links to FT wherever useful
Stay within my competence
16. health:mk
Quality: MK
Things to remember:
These people are very busy
Short deadlines
Bullet points, highlight important points
Has someone already done it?
You can sometimes provide information they
do not know to ask for
We are professionals too!
17. health:mk
Questions?
For further information contact
– Anne Gray, Outreach Librarian, MKPCT
Outreach.librarian@mkpct.nhs.uk
– Ann Skinner, Information Specialist, Quality:MK
Ann.skinner13@btinternet.com
– Sue Lacey-Bryant, Project Manager, Quality:MK
Sue.lacey-bryant@mkpct.nhs.uk
Quality: MK website
http://www.miltonkeynes.nhs.uk/default.asp?ContentID=1359
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Editor's Notes
Anne Gray and Ann Skinner are part of a small part-time temporary project team supporting the Quality:MK project. Anne is the part time outreach librarian at Milton Keynes PCT and Ann has been employed since September by the project and between us we are now contracted to work for 30 hours per week on the project, an increase of 10 hours per week from the first year. 15/4/2008
Diabetes 15/4/2008
Services – podiatry, optical, child and adolescent, in pregnancy,
I can carry out literature searches – for guidelines, summaries of evidence, to research into specific aspects of diabetes where appropriate, as well as provide synopses of the evidence as needed. One of my roles will be to set up a new publications bulletin on Diabetes to let you know of new publications, both from the government and in journals.
Examples
Documents on NHS trust websites Snippets in articles